About Fallopian tube blockage By Dr. Kaberi Banerjee

1. What is Fallopian Tube Blockage
Dr. Kaberi Banerjee
Medical Director,
Advance Fertility and Gynaecology Centre
Delhi and Noida
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2. Normal Fallopian Tube Function
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3. Causes of Blocked Fallopian Tubes
• Pelvic inflammatory disease
• Endometriosis
• Ectopic Pregnancy
• Fibroids
• Past abdominal surgery
• Tubal Ligation www.advancefertility.in

4. Tube Tests- HSG
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5. Tube Tests- SSG
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6. Tube Tests- Laparoscopy
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7. HSG vs Laparoscopy
HSG
• Less expensive
• No need of GA
• Painful
• Errors in Reporting
• Screening Test
• Only Tubal Flushing
• Cannot treat any other pathologies
Laparoscopy
• Expensive
• Invasive
• GA
• Accurate
• Gold Standard
• Corrective Procedures
• Useful for PCOS, Endometriosis etc
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8. Treatment of Blocked Tubes- Medical
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• Pelvic Inflammatory Disease
Treatment
• Anti tubercular Treatment

9. Treatment of Blocked Tubes- Surgical
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• Tubal Flushing
• Adhesiolysis
• Tuboplasty
• Tubal Recanalization

10. Treatment of Blocked Tubes- IVF
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11. IVF vs Tuboplasty
IVF
• Expensive
• Many times
• More Successful
• Less chances of Ectopic
• More appropriate in cases of advanced
age and male factor
Tuboplasty
• Less Expensive
• One time
• Only Successful in few cases
• More chances of Ectopic
• More appropriate in younger women with
no other associated factor
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12. Conclusion
• Tubal tests are an important part of evaluation of infertility
• Not all tests have same amount of accuracy
• Laparoscopy is invasive but gold standard and also be corrective at times
• Tubal repair is successful in few cases
• IVF is the final answer in Tubal infertility www.advancefertility.in